Yes indeed.
I am drained.
Quick breakdown:
I have a combination of psychiatric and neuropsychiatric issues, events covering the last 2.5 years have caused a state of "burnout", the final events fully triggering the disease is an unhealthy relationship with a Borderline Personality Disorder/Emotional Dysregulation Disorder -woman, while attempting to plan and execute a big relocation to a new city, covering approximately a 1000 miles distance.
Symptoms:
Fatigue, social withdrawl, cognitive decline in the following regions: reason, verbal memory, long-term memory, short-term memory, somnolence, sleep phase disorder? inability to complete full symptom-list...
Subject:
Male
30 years old approx
ADHD-PI diagnosed, self-diagnosed SCT
Dystymia and anxiety are recurring diagnoses (I have been in remission several times the last 5 years, depending on environment)
Stimulants have limited effect on ADHD-PI symptoms, sensitive to side-effects
-----Stimulants trialed:
-----DL-Methylphenidate approx 25% improvement (irregardless of XR or IR)
----------Doses trialed stretching from 5 mg to 60 mg. Maximum benefit achieved at approx 30 mg
-----Modafinil approx 20% improvement
----------Doses trialed stretching from 50 mg to 300 mg. Maximum benefit achieved at 200 mg.
-----LisDexamphetamine approx 35% improvement (XR, duh!)
----------Doses trialed stretching from 10 mg to 70 mg. Maximum benefit achieved at 40 mg.
-----Bupropion approx 15% improvement (XR) 50%(!) improvement (IR - curious. Reasons?)
----------Doses trialed stretching from 50 mg to 600 mg. Maximum benefit achieved at 300 mg. (depression XR, ADHD-PI IR)
CYP2D6 Ultra-SLOW metabolizer - multiple mutations make my breakdown of compounds metabolized by this enzyme, practically non-existant.
Asthmatic, small symptoms.
Heart-rhytm and blood-pressure was perfect within the last two months (EKG) and three weeks respectively.
Formerly engaged in the previous recreational sports, but NO MORE:
Bicycling, Jogging, Dancing, Karate
Problem-solving personality
Ambitious (I believe I am the perfect candidate for Occupational Burnout - i fit the criteria of persons at risk)
Sociable, outgoing (can't recall correct sci-word...)
Positivist (can't recall correct word...)
Ladies and gentlemen, I would be forever grateful for your help in devising some practical planning for the following aspects of a potential recovery:
1. Diet - what foods are high in nutrition and suitable for regaining energy? What perticular diet is suitable to my situation? Give examples, e.g:
"4 meals a day. Resistant starch - potatoes, etc."
2. Exercise - what form of exercise-pattern, starting at LOW levels of expenditure are suitable to regain health?
"Week 1 - one kilometer walk. 5 push-ups."
"Week 2 - two kilometer walk. 10 push-ups."
Et c.
3. Medication - what compounds are ideal for dealing with this type of... depression? What dosages?
4. Supplements - what supplements and extra additions to nutrition would be beneficial? Give examples, e.g:
"3 grams of Omega-3. 30 mg of Vitamin D3..."
5. Quality of life improvements - simple things to do, such as being outdoors if sunny.
6. SLEEP - the most important aspect as I understand it. How do I improve deep sleep? What strategy?
Would be most elated for your input, fellow posters. = )